Live Your Life Integrated Health and Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0007262 Issued in CO

Legal business name

LIVE YOUR LIFE INTEGRATED HEALTH AND CHIROPRACTIC

Practice address

671 Mitchell Way
Erie, CO 80516-5444

Phone

(303) 659-7140

NPI assigned

May 11, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samantha Boldt, DC

Title

Owner, Doctor of Chiropractic

Phone

(720) 759-5229

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1588010383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 MITCHELL WAY",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165444",
            "telephone_number": "303-659-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 MITCHELL WAY",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165444",
            "telephone_number": "303-659-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE YOUR LIFE INTEGRATED HEALTH AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "BOLDT",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER, DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "720-759-5229",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Erie, CO
• Providers in Erie, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.